Mahboob Alam Chishti, Amjad H M, Abid Hussain, Kamran Cheema, Akmal Shafiq, Muhammad Kareem Ullah, Saeed Mahmood.
Full thickness muscle stitch after abdominal drain removal in post-operative chronic liver disease patients.
J Allama Iqbal Med Coll Jan ;19(4):826-28.

Background: Development of post-operative ascites is a well-known phenomenon in chronic liver disease patients when being operated for general surgical diseases. Control of ascitic leak is a big challenge when drain is removed in these patients post-operatively. For this purpose, different methods had been tried but no one has been effective in solving this problem. Methods: This study was conducted at Avicenna Medical & Dental College, Bedian Road, Lahore from January 2020 to December 2020. Fifty patients were randomly included in this study. Different methods to control ascitic leak were applied for patients randomly. Results: It was observed that full thickness anterior abdominal wall muscle stitch after drain removal is the best technique to control the ascitic leak in chronic liver disease patients when being operated for surgical diseases. Conclusion: After drain removal, in chronic liver disease patients, full thickness muscle stitch through anterior abdominal wall is most successful method to control the ascitic leak.

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